Provider Demographics
NPI:1538538640
Name:WILLIAMS, PATRICIA LELA (N/A)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:LELA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:N/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 E 2ND ST APT 204
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-5945
Mailing Address - Country:US
Mailing Address - Phone:562-661-0821
Mailing Address - Fax:
Practice Address - Street 1:100 OCEANGATE
Practice Address - Street 2:#550
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-4312
Practice Address - Country:US
Practice Address - Phone:562-435-3037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-18
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No172V00000XOther Service ProvidersCommunity Health Worker